IndividualActive
Cathleen Vicini, MFT, PSY.D.
NPI 1639054471 · Marriage & Family Therapist · Eagle, ID
Provider details
- NPI number
- 1639054471
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MFT, PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3471962 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1093 E Iron Eagle Dr Ste 125
Eagle, ID 83616-6004
Phone: (208) 800-2207
Approximate (ZIP-level) locationGet directions
Mailing address
12113 N Upper Ridge Pl
Boise, ID 83714-9324
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.